Individual
KIMBERLY STOCKSTILL BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-6158
(910) 353-7257
Mailing address
4 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-6158
(910) 353-7257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22721
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6100
—
SC
Enumeration date
03/14/2019
Last updated
10/15/2025
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